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42. Contraceptive services for under 25s

, colleges, youth clubs and other places that young people visit have up-to-date and accessible information on contraceptive methods and local services. Ensure information is available in a range of formats. For example, it should be available in languages other than English, in large print, or text relay (for those who are deaf or hard of hearing). It should also be distributed via a range of media, for example, via mobile phones (text messaging or calls) or emails. (Practitioners should be mindful

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

47. American College of Medical Genetics and Genomics guideline for the clinical evaluation and etiologic diagnosis of hearing loss

American College of Medical Genetics and Genomics guideline for the clinical evaluation and etiologic diagnosis of hearing loss 347 © American College of Medical Genetics and Genomics ACMG PrACtiCe Guidelines DEFINITIONS Deaf: a community with a distinct culture and language shaped by the experience of being deaf or hard of hear- ing, which may include deaf, hard-of-hearing, and hearing individuals deaf: an auditory phenotype characterized by a total or near- total loss of the ability to hear (...) for many deaf and hard-of-hearing individuals. However, identify- ing the etiology of a hearing loss may affect clinical management, improve prognostic accuracy, and refine genetic counseling and assessment of the likelihood of recurrence for relatives of deaf and hard-of-hearing individuals. Linguistic and cultural identities asso- ciated with being deaf or hard of hearing can complicate access to and the effectiveness of clinical care. These concerns can be mini- mized when genetic and other health

2014 American College of Medical Genetics and Genomics

48. Cardiovascular Function and Treatment in ß-Thalassemia Major

properties ( ). Table 2. Main Features of the Iron Chelators Drug FDA Approved EU Approved Route Typical Chronic Dosing, mg·kg −1 ·d −1 Frequency Excretion Main Adverse Effects Deferoxamine Yes Yes SC (IV in heart failure) 20–50 8- to 14-h infusion for5–7 d/wk 60% Urine;40% feces Sensorineural deafness, visual disturbance, skeletal abnormality, growth retardation Deferiprone Yes Yes Oral 75–100 ×3/d 75%–90% Urine Agranulocytosis, GI disturbance, arthropathy Deferasirox Yes Yes Oral 20–40 ×1/d ≈90% Feces

2013 American Heart Association

50. Hearing Loss and/or Vertigo

without IV contrast Usually Not Appropriate O MRA head without and with IV contrast Usually Not Appropriate O MRA head without IV contrast Usually Not Appropriate O ACR Appropriateness Criteria ® 3 Hearing Loss and/or Vertigo Variant 5: Congenital hearing loss or total deafness or cochlear implant candidate. Surgical planning. Procedure Appropriateness Category Relative Radiation Level CT temporal bone without IV contrast Usually Appropriate ??? MRI head and internal auditory canal without and with IV (...) differential considerations may vary based upon sudden, fluctuating, or progressive nature of sensorineural hearing loss, MRI remains the imaging modality of choice for all these subcategories. MRI should be done using dedicated IAC protocol using thin sections across the IAC and the inner ear. These protocols include evaluation of the brainstem and thalami. Given the extreme rarity of cortical deafness, there is no strong evidence to recommend routine assessment of the entire brain parenchyma in addition

2018 American College of Radiology

51. Transitions of Care in Heart Failure

al, 53 2005 6 mo rehosp in TC program vs UC Q-exp 121 (IG, 44; UC, 77) Age =50 y HF hosp and LVEF 1 ED visit, IG had a 32% rate and UC had 50% Hosp RNs provided IG int and UC; possible contamination across groups Jack et al, 42 2009 Project RED 30-d combination of ED visits or rehosp in Project RED vs UC PCP FU between IG and UC RCT 749 (IG, 373; UC, 376) Hosp medical and surgical patients Admitted from SNF Transferred to another service Planned hosp Blind, deaf, or suicide precautions Up to 4 d

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2015 American Heart Association

52. ESPGHAN and NASPGHAN Report on the Assessment of Exocrine Pancreatic Function and Pancreatitis in Children

of this article is prohibited. wings, hypothyroidism, and congenital deafness (73). EPI is the most consistent feature, associated with replacement of the pancreas by fat and connective tissue. There is selective acinar cell loss, and endocrine insufficiency develops in adulthood. JBS is an autosomal recessive disorder, and, in 2005, mutations in the UBR1 (the ubiquitin protein ligase E3 component n-recognin 1) gene were reported (74). UBR1 is highly expressed in acinar cells, and its absence is thought (...) inhibitor Kazal type 1, which is strongly associated with TABLE 3. Genetic associations with syndromes of EPI Disease OMIM Gene/locus Comments CF 219700 CFTR Most common SDS 260400 SBDS Hematologic abnormalities, short stature, skeletal anomalies, and malignancies JBS 243800 UBR1 Nasal alar hypoplasia and congenital deafness PMPS 557000 mtDNA Refractory anemia in infancy Pancreatic agenesis 260370 IPF1 Both endocrine and EPI Congenital lipase de?ciency 614338 PNLIP Steatorrhea but usually without FTT

2015 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

55. Use of fMRI in the presurgical evaluation of patients with epilepsy

Medicine , and NeuroImage: Clinical ; serves as an associate editor of Neurosurgery ; and has received research funding from the NIH, Harvard Catalyst, and Koh-Young Technology, Inc. S. Holland reports grant support from 4 entities within the NIH (the National Institute of Neurological Disorders and Stroke, the National Institute of Mental Health, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, and the National Institute on Deafness and Other Communication Disorders

2017 American Academy of Neurology

56. Meningitis (bacterial) and menigococcal septicaemia in under 16s: recognition, diagnosis and management

) and meningococcal septicaemia in under 16s: recognition, diagnosis and management (CG102) © NICE 2018. All rights reserved. Subject to Notice of rights ( conditions#notice-of-rights). Page 9 of 39electrolytes discuss further management with a paediatric intensivist. L Long-term management ong-term management Long-term effects of bacterial meningitis and meningococcal septicaemia Offer children and young people with a severe or profound deafness an urgent assessment for cochlear (...) implants as soon as they are fit to undergo testing (further guidance on the use of cochlear implants for severe to profound deafness can be found in the NICE technology appraisal guidance on cochlear implants for children and adults with severe to profound deafness). Children and young people should be reviewed by a paediatrician with the results of their hearing test 4–6 weeks after discharge from hospital to discuss morbidities associated with their condition and offered referral to the appropriate

2010 National Institute for Health and Clinical Excellence - Clinical Guidelines

57. Improving outcomes in head and neck cancers

and hoarseness is not uncommon. Nasopharynx cancer is most likely to cause a lump in the neck, but may also cause nasal obstruction, deafness and post-nasal discharge. The geographical incidence of pharyngeal cancer (aside from nasopharynx) is similar to that of oral cancers. It is relatively low in England and Wales, but higher among those with a South Asian background; among immigrants from the Indian sub-continent, the risk of death from cancer of the pharynx is five times that of British natives. 28

2004 National Institute for Health and Clinical Excellence - Clinical Guidelines

59. Diabetes (type 1 and type 2) in children and young people: diagnosis and management

or mitochondrial diabetes) in children and young people with suspected diabetes who have any of the following features: diabetes in the first year of life rarely or never develop ketone bodies in the blood (ketonaemia) during episodes of hyperglycaemia associated features, such as optic atrophy, retinitis pigmentosa, deafness, or another systemic illness or syndrome. [2004, amended 2015] [2004, amended 2015] 1.1.7 Do not measure C-peptide and/or diabetes-specific autoantibody titres at initial presentation

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

60. Tinnitus in Children and Teenagers

The term ‘child’ is used throughout this document to include children up to the age of 16 years. Healthcare Professional This term has been used generically to refer to doctors, audiologists, and other allied healthcare professionals such as hearing therapists, teachers of the deaf, nurses, counsellors, psychologists, psychiatrists and any other professionals that may be involved in the child’s care. Parents This includes mothers, fathers, carers and other adults with responsibility for caring (...) to further clinical developments, research, and ultimately a ?rm evidence base for the management of tinnitus in children. These guidelines are intended for the wide range of professionals may be involved in the management of a child with tinnitus. This can include audiologists, medical professionals, nurses, hearing therapists, teachers of the deaf, psychologists and other mental health professionals. Some sections are of more relevance to speci?c professionals than others. As an introduction, below

2014 British Society of Audiology


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